<div class="fsh-pop">
    <div id="add_form" class="layui-form">
    <div class="layui-form-item">
            <label class="layui-form-label"><i>*</i>用户账号</label>
            <div class="layui-input-block">
                <input type="text" name="account" lay-verify="required" placeholder="请输入用户账号" class="layui-input" value="admin">
            </div>
        </div>
        <div class="layui-form-item">
            <label class="layui-form-label"><i>*</i>微信号</label>
            <div class="layui-input-block">
                <input type="text" name="wx" lay-verify="required" placeholder="请输入微信号" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label"><i>*</i>用户昵称</label>
            <div class="layui-input-block">
                <input name="nickName" maxlength="20" lay-verify="required" placeholder="请输入用户昵称" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label"><i>*</i>性别</label>
            <div class="layui-input-block">
                <input name="sex" maxlength="200" lay-verify="required" placeholder="请输入性别" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label"><i>*</i>电话</label>
            <div class="layui-input-block">
                <input name="phone" maxlength="200" lay-verify="required" placeholder="请输入电话" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label"><i>*</i>地址</label>
            <div class="layui-input-block">
                <input name="address" maxlength="200" lay-verify="required" placeholder="请输入地址" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item layui-form-text">
            <label class="layui-form-label"><i>*</i>计算结果</label>
            <div class="layui-input-block">
                <input name=calcResult maxlength="200" lay-verify="required" placeholder="请输入计算结果" class="layui-input">
            </div>
        </div>
        <div class="layui-form-item wx-search">
        <label class="layui-form-label"><i>*</i>使用时间</label>
         <div class="layui-inline">
                    <input type="text" class="layui-input laydate"  name="useTime">
                     <i class="iconfont icon-rili"></i>
         </div>
         </div>
         
          <div class="layui-form-item wx-search">
        <label class="layui-form-label"><i>*</i>到期时间</label>
         <div class="layui-inline">
                    <input type="text" class="layui-input laydate" name="endTime">
                     <i class="iconfont icon-rili"></i>
         </div>
         </div>
    </div>
</div>